Rashin ƙarfi - halaye, haddasawa, gwaje-gwajen bincike don rashin ƙarfi

Rashin ƙarfi matsala ce ga maza da yawa. Akwai dalilai da yawa na rashin ƙarfi. Wasu mazan suna fama da matsalar rashin karfin mazakuta ko kuma rashin tsayuwa gaba daya saboda amfani da wasu magunguna. A wasu lokuta, rashin ƙarfi yana da alaƙa da abubuwan tunani irin su rikicewar tashin hankali, raunin da ya wuce, da ƙaramin hadadden azzakari. Matakin farko na gano matsalar rashin karfin mazakuta shine daukar cikakken tarihin likita. A lokacin jarrabawar, likita yayi ƙoƙari ya amsa tambayar ko rashin aiki na mazan jiya shine kwayoyin halitta (wanda ya haifar da cuta) ko kuma psychogenic. Bayan ganewar asali na farko, likita ya ba da shawarar ƙarin matakai, wanda zai iya haɗawa da gwajin gwaji don rashin ƙarfi.

1. Halaye da mafi yawan abubuwan da ke haifar da rashin ƙarfi

Rashin ƙarfi irin rashin aikin jima'i na maza. Wannan matsalar yawanci tana shafar maza da suka balaga, amma wannan ba shine ka'ida ba. Yana faruwa cewa rashin ƙarfi yana shafar samari. Rashin ƙarfi yana nufin matsalolin kamar haka: rashin ƙarfi na azzakari, rashin cikawa, rashin cikawa, rashin ƙarfi, matsalolin tsagewa, hasara ko raguwar hankalin jima'i. Rashin ƙarfi yawanci yana faruwa ne saboda ƙarancin kwararar jini. Wannan yanayin yana nufin cewa namiji ba zai iya samun cikakkiyar tsauri ko dindindin ba.

auto mafi yawan abubuwan da ke haifar da rashin ƙarfi:

• rashin ƙarfi na psychogenic - na iya haɗawa da rikicewar tashin hankali, rauni, ƙaramin hadaddun azzakari, damuwa yanayi, ƙarancin girman kai, liwadi.
• Rashin rashin ƙarfi na Hormonal - na iya haifar da ƙananan matakan testosterone ko kuma matakan prolactin da yawa a cikin jiki.
• rashin karfin jini - ana iya haifar da shi ta hanyar hauhawar jini, atherosclerosis, ko canje-canje a cikin tasoshin jini na azzakari.
• Rashin rashin ƙarfi na miyagun ƙwayoyi yana da alaƙa da magungunan hawan jini, magungunan rage damuwa, da magungunan da aka sani da antipsychotics.
• rashin ƙarfi na neurogenic - yana faruwa a cikin maza da raunin kashin baya, discopathy, a cikin mutanen da suka dogara da abubuwan psychoactive. Abubuwan da ke haifar da rashin ƙarfi na neurogenic suma sune matsalolin jijiya, shanyewar jiki, ko ciwan kwakwalwa.

A cikin 1/4 na maza, kwararru suna bincikar abin da ake kira rashin ƙarfi.

2. Ganewar rashin ƙarfi

Matakin farko na gano matsalar rashin karfin mazakuta shine daukar cikakken tarihin likita. A ziyarar da likita ya kai ofis, likita ya gudanar da cikakken bincike na azzakari da kuma al'aura. Bugu da ƙari, ƙwararrun ƙwararrun suna gudanar da gwajin ƙima don ƙwarewar fata. Yana da matukar mahimmanci a auna hawan jini na mutumin da ke fama da rashin ƙarfi. Har ila yau, likita ya kamata ya yi la'akari da samar da jini zuwa ga ma'auni na majiyyaci (kimanin ƙima da ƙananan ƙananan ya dace). A yayin gwajin asibiti, ana kuma gudanar da gwajin jijiya don tantance yanayin jijiyar majiyyaci.

Ƙimar latency na bulbocavernosal reflex ba wani abu ba ne face hanyar dianostic don tantance raƙuman bulbocavernosal. Yayin gwajin, ƙwararren ya saka yatsan safar hannu a cikin dubura kuma ya ɗan matse azzakari na majiyyaci. Bayan danna azzakari, ya kamata ku ji tashin hankali a cikin dubura da yatsa.

2.1. Laboratory binciken da aka gudanar a cikin ganewar asali na rashin ƙarfi

Laboratory binciken da aka gudanar a cikin ganewar asali na rashin ƙarfi:

• na farko gwajin jini Anemia kuma yana iya haifar da gajiya rashin karfin mazakuta,
• matakan glucose a cikin jini da fitsari - don ware ciwon sukari mellitus,
• Ƙaddamar bayanin martabar lipid - yana ba ku damar ƙayyade matakin cholesterol. Babban matakin na iya nuna haɗarin atherosclerosis, wanda ke toshe samar da jini ga azzakari.
• thyroid aiki kima (TSH, fT4) - thyroid hormones shafi samar testosterone. Don haka, ƙarancin hormone na thyroid na iya haifar da tabarbarewar erectile.
• kimantawa na koda (urea, creatinine) da sigogi na hanta (hanta enzymes, bilirubin), wanda zai ba da damar kimanta aikin waɗannan gabobin.
• janar fitsari - ban da kasancewar glucose (gano ciwon sukari mellitus) na iya nuna cutar koda,
• PSA wani antigen ne wanda aka ƙaddara a cikin cututtuka na glandan prostate.

A cikin lokuta masu rikitarwa, ko kuma lokacin da maganin da aka ba da shawara bisa ga ganewar asali na yanzu ba shi da tasiri, za a iya yin ƙarin ƙarin nazarin don sanin dalilin rashin aikin erectile.

Ba a yin gwaje-gwaje na musamman na endocrinological akai-akai. Yawancin lokaci ana ba da shawarar su ga maza waɗanda, baya ga tabarbarewar mazakuta, lura da raguwa ko asarar sha'awar jima'i (jima'i), asarar halayen jima'i, kamar gashin namiji. Waɗannan sun haɗa da:

• matakan testosterone - ana ɗaukar hormone da safe, lokacin da yake mafi girma a cikin jini,
• prolactin - musamman a cikin samari tare da asarar libido. Babban matakin wannan hormone yana rage adadin testosterone a cikin jini kuma, ta hanyar hanyar da ba a sani ba, yana tasiri rage libido da rashin karfin mazakuta
• LH/FSH.

3. Duban dan tayi na azzakari

Duban dan tayi na azzakari wani kayan aikin bincike ne wanda ke ba ka damar tantance yanayin lafiyar mai haƙuri. A cikin ganewar asali na rashin ƙarfi, kwararru suna amfani da su Duban dan tayi na zurfin arteries na azzakari. Ana yin wannan gwajin bayan gudanarwar vasodilator na ciki. Ana yin gwajin idan ana zargin tabarbarewar erectile. Manufar gwajin ita ce a nuna daidaitaccen jini a cikin tasoshin azzakari, da kuma idan aka keta haddi, don tantance ko matsalar ta hana shigowa ko fitar jini daga azzakari.

Binciken na gaba shine na'urar duban dan tayi na gabobin pelvic da jarrabawar transrectal. Godiya ga waɗannan kayan aikin bincike, likita na iya ƙayyade yanayin gabobin da ke cikin gida.

a cikin yankin pelvic. Hakanan yana yiwuwa a gano yuwuwar hypertrophy na glandan prostate (prostate).

A cikin ganewar rashin ƙarfi, ƙwararrun kuma suna amfani da gwajin duban dan tayi na ƙwayaye da epididymis. Tare da waɗannan gwaje-gwaje, likita na iya tabbatarwa ko kawar da rashin aiki na waɗannan gabobin. Wannan gwajin yana da mahimmanci musamman lokacin da majiyyaci ke fama da rashin ƙarfi na hormonal (yana da ƙananan matakan testosterone).

4. Sauran hanyoyin gano rashin ƙarfi

Baya ga gwaje-gwajen dakin gwaje-gwaje da duban dan tayi, akwai wasu hanyoyin gano rashin karfin jiki. A halin yanzu, hanyar binciken da aka saba amfani da ita ita ce allurar gwaji a cikin kogon azzakari. Intracavernous allura ne

ana allurar vasodilator a cikin jikin kogo (mafi yawancin alprostadil analogue na prostaglandin). Samun karfin jiki bayan gudanar da maganin yana ware wani abin da ke haifar da rashin karfin jiki. Hakanan za'a iya amfani da hanyar a matsayin magani na baya don tabarbarewa. Yawancin maza suna jin tsoron wannan allurar, da kuma matsalolin da za su iya faruwa yayin amfani da allurar gwaji. Hanyar na iya haifar da fibrosis a wurin allurar majiyyaci. Daga cikin wasu rikice-rikice, likitoci sun ambaci kututtuka, raunuka da curvature na azzakari.

Wata hanyar gane rashin ƙarfi kimantawa na dare erections na azzakari, wanda jarrabawa ce da ba a shirya ba. Kimanta tsantsar tsantsar dare na iya tantance ko matsalolin da ke haifar da tashin hankali ta hanyar tunani ko abubuwan halitta. A cikin dare na REM barci, yawanci 3-5 azzakari erections. Tabarbarewar erectile na tabin hankali yana da ƙayyadaddun ƙazamin dare, yayin da tabarbarewar erectile ba ta da yawa ko kuma ba ta nan.

Arteriography na jijiyoyi na ciki ba kome ba ne illa nazarin hoto mai ban sha'awa, wanda ba a cika yin shi ba, sai dai a lokuta da rashin barci ya haifar da rauni ko tiyata a baya a wannan yanki. Arteriography yana da amfani a cikin mutanen da ke da yiwuwar yin aikin tiyata na jijiyoyin jini, kamar matasa bayan haɗari.

Cavernosometry da cavernosography gwaje-gwaje ne da ke ba ka damar tabbatar da hawan jini a cikin jikin kogo da gano wuraren da ke ƙara fitowar jijiyoyi, wanda ke ba da gudummawa ga tabarbarewar erectile. Gwajin ya hada da sanya kananan allurai guda biyu a cikin azzakari da kuma yin allurar gishiri, maganin tashin hankali, da kuma x-ray.

Nazarin jijjiga jijiya hanya ce ta ganowa wacce ke ba da izini da sauri cikin sauri, ƙididdigewa (a zahiri), kima na majinyata na jijjiga jijjiga, wanda shine ɗayan mafi mahimmancin alamun neuropathy na azanci. Mara lafiyan da za a yi gwajin jijjiga ya kamata ya isa ofishin ya huta kuma ya wartsake. Kada a sha taba kafin a gwada. Kididdiga ta nuna cewa bazara da kaka sune mafi kyawun lokutan shekara don yin gwajin. Ana amfani da gwajin jin jijjiga a cikin mutanen da abin ya shafa.

rikicewar hankali a cikin ciwon sukari neuropathy.

5. Testosterone da rashin karfin mazakuta

Abubuwan Hormonal suna taka muhimmiyar rawa a cikin tashin hankali. Ana daukar Testosterone a matsayin muhimmin hormone don aikin jima'i na ɗan adam, amma har yanzu ba a bayyana cikakken bayanin aikinsa ba. An sani, duk da haka, daya daga cikin abubuwan da ke haifar da rashin ƙarfi shine cututtuka na hormonal a cikin tsarin hypothalamic-pituitary-testicular. Cututtuka na sauran cututtukan endocrine waɗanda ke rushe aikin wannan axis na endocrine kuma na iya yin mummunan tasiri. Duk da haka, kawai kusan 5% na marasa lafiya da suka ga likita don rashin aiki na mazauni suna da ƙananan matakan testosterone. Yawancin karatu sun nuna cewa raguwar matakan testosterone sune ke da alhakin rage yawan libido, haɓakar haɓakar halayen jima'i na maza, da baƙin ciki. Sabili da haka, ana bada shawarar ƙaddamar da matakin testosterone kyauta musamman a cikin maza waɗanda, ban da rashin ƙarfi, suna da ƙarin, alamun damuwa.

Ana gudanar da karatun dakin gwaje-gwaje don rashin ƙarfi ne kawai bayan tattara cikakken bincike da gudanar da gwaje-gwaje na ciki. Dangane da bayanan da ake da su, likita ya tsara wani takamaiman gwajin gwaje-gwaje. Ya kamata a lura cewa babu wani daidaitaccen tsarin bincike guda ɗaya, kuma ana yanke shawarar koyaushe daidai ga takamaiman yanayin.

Kuna buƙatar shawarwarin likita, e-ssuance ko takardar sayan magani? Jeka gidan yanar gizon abcZdrowie Nemo likita kuma nan da nan shirya alƙawari na marasa lafiya tare da kwararru daga ko'ina cikin Poland ko teleportation.